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Using provider performance incentives to increase HIV testing and counseling services in Rwanda

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Author Info

  • de Walque, Damien
  • Gertler, Paul J
  • Bautista-Arredondo, Sergio
  • Kwan, Ada
  • Vermeersch, Christel
  • de Dieu Bizimana, Jean
  • Binagwaho, Agnes
  • Condo, Jeanine

Abstract

Paying for performance provides financial rewards to medical care providers for improvements in performance measured by specific utilization and quality of care indicators. In 2006, Rwanda began a paying for performance scheme to improve health services delivery, including HIV/AIDS services. This study examines the scheme's impact on individual and couples HIV testing and counseling and using data from a prospective quasi-experimental design. The study finds a positive impact of paying for performance with an increase of 6.1 percentage points in the probability of individuals having ever been tested. This positive impact is stronger for married individuals: 10.2 percentage points. The results also indicate larger impacts of paying for performance on the likelihood that the respondent reports both partners have ever been tested, especially among discordant couples (14.7 percentage point increase) in which only one of the partners is HIV positive.

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Bibliographic Info

Paper provided by The World Bank in its series Policy Research Working Paper Series with number 6364.

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Date of creation: 01 Feb 2013
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Handle: RePEc:wbk:wbrwps:6364

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Related research

Keywords: Health Monitoring&Evaluation; Disease Control&Prevention; Population Policies; Health Systems Development&Reform; HIV AIDS;

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  1. Anthony Scott & Stefanie Schurer & Paul H. Jensen & Peter Sivey, 2008. "The Effect of Financial Incentives on Quality of Care: The Case of Diabetes," Melbourne Institute Working Paper Series wp2008n12, Melbourne Institute of Applied Economic and Social Research, The University of Melbourne.
  2. Benjamin A. Olken & Junko Onishi & Susan Wong, 2012. "Should Aid Reward Performance? Evidence from a Field Experiment on Health and Education in Indonesia," NBER Working Papers 17892, National Bureau of Economic Research, Inc.
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